15D0968542 CLIA NUMBER - DEACONESS ANTICOAGULATION CLINIC

Laboratory Demographics

  • CLIA Code: 15D0968542
  • Facility Name: DEACONESS ANTICOAGULATION CLINIC
  • Facility Address: 310 IOWA STREET
    EVANSVILLE, IN
    ZIP 47710
  • Facility Phone: 812 450-3990
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: AMY K. HARRIS
  • NPI Number: 1619684362
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0968542
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DEACONESS ANTICOAGULATION CLINIC
Street 310 IOWA STREET
City EVANSVILLE
State IN
ZIP 47710
Phone 812 450-3990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director AMY K. HARRIS

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This page was last updated on: 9/29/2025